complaint·June 8, 2023

Licesning Program Analyst(LPA) made an unannounced visit to the facility to commence a complaint investigation in regards to the allegation(s) listed above. LPA was greeted and granted entry by the Licensee Ursula Carlos, where explained the purpose of the visit and the elements of the allegation(s). Mrs. Carlos stated that the facility does not have Resident #1 (R1) residing at the facility, as they are at the sister facility. In addition, LPA was provided a copy of the resident roster, and did not see R1 on the list. Based on observation, interviews and record review all three (3) allegations Lack of care and supervision, facility is not following residents health care directive, and resident is not being afforded privacy with phone calls and visits are UNFOUNDED. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Therefore, the department had there dismissed the complaint. An exit interview was conducted and a copy of this report was provided to Rommel and Ursula Carlos.